Individual
DR. SRINIVASON ROGER PARTHASARATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SETON PKWY, SUITE 402, ROUND ROCK, TX 78665-8002
(512) 324-4816
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P1206
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
P1206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295048701
—
TX
05
—
295048702
—
TX
Enumeration date
05/18/2006
Last updated
01/21/2013
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